endobj 0000085269 00000 n endobj 0000060305 00000 n Need help? \eiClS0UVMg~4T{"]* ^NMbT\W=X You can also use this page to find information about the benefit programs, partner agencies, and navigating CommonHelp. You can continue uploading documents for up to 1 year from the date we receive your claim. Contact the Enterprise Call Center at 855-635-4370. I Hi!G$ ddK!HSj @ 'v ar.CbL?VeqvvefR:(lY!D\O=n:yzdiN}WUe;b2HsOn vY}6wR:Oj"GO\="yloTF};FvhD{p@CB3W mE`zE= 8mpj%`R 0000003539 00000 n 0000017125 00000 n 0000016986 00000 n JFIF C 1111 East Broad Street, 1st Floor. 0000035752 00000 n x}Rn0A()5tNA$-H]Tb%(5?GIp-Z P2h You may need to set up an account before uploading your documents. How to upload documents online You'll need an electronic file of the document saved on your computer. Make a debt collection payment with GovPal. Celebrate Virginia Culture and History Month of November CelebrationNative American Heritage Month Download an application for Medicaid ( English, Spanish) If you are unable to apply for benefits, you can assign someone to do so on your behalf. For further information/mailing address: Authentications Director. You now do not need to meet immigration status rules, provide immigration documents, . Document format requirements: Accepted formats: .pdf, .jpeg, .jpg, .gif, .xml, .png, .tiff, .bmp Maximum file size: 10MB File names can't include special characters like / \ : * ? 0000004801 00000 n this page 6 0 obj Apply by phone for Medicaid, SNAP, TANF, and more. 0000001607 00000 n By linking your case to your CommonHelp account: you can see your case information, check your benefits, renew your benefits, and report changes. [,/r+UL. ] }!M3R1eM-(Ga-F?w @c]5nLvV2Mg)_)5 <> endobj 5 0 obj 493 0 obj <>/Filter/FlateDecode/ID[]/Index[485 19]/Info 484 0 R/Length 59/Prev 400344/Root 486 0 R/Size 504/Type/XRef/W[1 2 1]>>stream 0000073428 00000 n (2`yJv}4'#:{#kg.fvY}mwF3\h$Et Need assistance filling out this application? 8 0 obj Use the CommonHelp website: CommonHelp.virginia.gov/access Call the Enterprise Customer Service Center (ECSC) at 1-855-635-4370, Monday - Friday 8am - 7pm, Sat 9am-Noon Call the Cover Virginia Call Center at 1-855-242-8282, Monday - Friday 8am - 7pm, Sat 9am-Noon CommonHelp, Federal Marketplace, Medicaid What if I can't pay my bills? 0000084833 00000 n 0000010244 00000 n A secret Personal Identification Number (PIN) is required * 1mKgXf2K(UIAY,>Zd(qW^@meb@?PU_-5[,Y@`:x=Ie GBR`o>' oHhJtbWD)|ERh5o+r,\`T>j& I`i|)qt6 + j5G,Q PGQFcaIE35t !+>p,Tt.,UvaT2ORJRG{ZOG%CqL:PC dD\!.%K!m*xB&C^0y9WfY aj#E"0&x\%RjJDb2Y}$AF.^] a.g${ oY"`>r J&(E+caG-fGIMtWVRTb'_p?; 1 0 obj <> 0000013789 00000 n 3 0 obj 0000009819 00000 n endobj cb`bd,!3` bg stream <]/Prev 978095/XRefStm 1980>> Department of Medical Assistance Services, (TDD: 1-888-221-1590) to apply on the phone Mon - Fri: 8:00 am to 7:00 pm and Sat: 9:00 am to 12:00 pm, to your local Department of Social Services (, Find your nearest local Department of Social Services, Check out our easy eligibility screening tool, DMAS - Department of Medical Assistance Services, Breast & Cervical Cancer Prevention and Treatment Act, Addiction and Recovery Treatment Services, Hospital Presumptive Eligibility Information, Early and Periodic Screening, Diagnostic and Treatment (EPSDT), Behavioral Health Service Utilization and Expenditures, Legislative and Congressional District Reports, Monthly Expenditure Reports of the Medicaid Program, Nursing Facility Value-Based Purchasing Program, CHIP State Plan and Waiver-Related Documents, | | s -w-po-ny | | | Deutsch | | Tagalog | Franais | | Igbo asusu | | | Espaol | | Ting Vit | Yorb. 7 0 obj 0000048075 00000 n When you apply, you will need this information: Full legal name; Date of birth ; Social Security numbers (or document numbers for any legal immigrants who . First-time users will be required to create an account to begin using CommonHelp. This eligibility tool will take about 15 minutes and will ask you to tell us about the people in your home, the money you receive from a job or other places, your housing costs, medical bills, and child care expenses. 0000048156 00000 n R\$Hs^ :+(SlDgUuFx;CU7D?.16xqg}c:'0Hft0 Virginia Medicaid accepts applications for health coverage year-round. Review Web Upload VEC Forms for details. trailer If this is your first time applying for assistance, you can visit this page for guides and videos to help you learn more about applying for assistance through CommonHelp, use this tool to see what benefits you may be eligible for before applying, or call our Enterprise Customer Service Center at 1-855-635-4370 if you need help with filling out %PDF-1.3 Get an application mailed to you. to use the card. 0000015460 00000 n 14 0 obj bAl_/Eh/_gX0z*+D Answer short questions and receive information on eligibility for benefits, Submit a request to continue/renew benefits, Check the status of an application or get information about a case, Update or report information about a household, Provide an address to find the nearest local office, Receive job referrals and placements, referrals to trainings, and job search skill-building support. Call 703-324-7500. 0000160983 00000 n 485 0 obj <> endobj Check eligibility? Forms Virginia Department of Social Services May 8th, 2018 - Application Forms by Category Children Under Age 19 Apply Online Through CommonHelp Other Ways to Apply for Medical Assistance PDF Parents amp Caretakers of Dependent Children baato.esewa.com.np 3 / 6 Please note the following: When you are finished, we will tell you if you qualify for programs like SNAP (Supplemental Nutrition Assistance Program), Health Care Coverage (Medicaid/FAMIS), Child Care, TANF (Temporary Assistance for Needy Families) and Energy Assistance. <>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI ]/XObject <>>>/Type /Page >> Why has my coverage changed? 0000004287 00000 n endobj O4#0 -R Information on how to apply for Medicaid in Virginia. 0000016341 00000 n % HlWn7Whb`G0# ZS])!Guu(^]}9]qFz.wSLY"FaK[kx q:{oWo^nZiv_}8i>0=r_}t[w{ynz)upKKnJt?m$zbSS^B* +T()rc:4"s%IZW1KJ^cg`0)T|LD%D?B0w5R=sMKAB_l x#+AlX7QB;7#4S*)* for guides and videos to help you learn more about applying for assistance through CommonHelp, use this tool 3( UN"](&21"kH#5cHjJAr0LV(M1a[f"Y pU)dpY0?xLQzaq2PVj@qh 6+ApAZ08ASc6Bb24>f'N P8 <>>> Visit this site to learn how you can keep or obtain Medical Assistance coverage: https://www.coverva.org/en/phe-planning. 2 0 obj To learn more about other energy assistance resources in your area, please contact Virginia 2-1-1 online or by phone by dialing 2-1-1. Apply for Health Care Benefits Apply for All Benefit Programs Habla Espaol? will return to normal amounts, without the additional allotment benefits. Online: Go to commonhelp.virginia.gov. You will have to create a CommonHelp account and apply for these programs to get a final decision about assistance, but we will help guide you through that process. 13 0 obj xref 1 0 obj endobj Beginning on April 1st, VA Medicaid will be returning to normal enrollment processes. 0000018590 00000 n You . Click on "Apply for . retailers. Use the mouse to select the type of programs that you would like to see if you may be eligible to receive. 0000002952 00000 n Popular Services. Through a single online site, you can find out what assistance you might be eligible for and submit one application saving you time and effort. 278 0 obj <>stream 10 0 obj Welcome to CommonHelp! hb``` A_A1%|SHz];O,! 12 0 obj endobj Click here to create an account. Contact the Enterprise Call Center at 855-635-4370. ",#(7),01444'9=82. endstream endobj 489 0 obj <>stream If all members have applied for or get Supplemental Security Income (SSI), you may also the February 2023 issuance. Visit CommonHelp.Virginia.gov to upload your documents. Secretary of the Commonwealth Kay Coles James P.O. CommonHelp is provided by the Virginia Department of Social Services. The application window for the Virginia COVID-19 EAP has closed, effective November 20. 0000123126 00000 n . 0000019301 00000 n <<>> A manual application cannot be processed and is not considered complete until it is To submit renewal paperwork, interim reports, or other requested documents, email us at [email protected]. Create Your Account In CommonHelp 1. Learn more. 0000007684 00000 n If this is your first time applying for assistance, you can visit To access the account, they will also receive an EBT Card, which will debit 215 64 0000001980 00000 n " | at. Apply for SNAP, Medicaid, TANF and More Apply online any time, any day at CommonHelp. 0000016824 00000 n endobj Answer short questions and receive information on eligibility for benefits, Submit a request to continue/renew benefits, Check the status of an application or get information about a case, Update or report information about a household, Provide an address to find the nearest local office, Receive job referrals and placements, referrals to trainings, and job search skill-building support. File & pay state taxes online with eForms. Rail & Public Transportation Transportation Navigator Find transportation services near you. By phone: Call Cover Virginia at 833-5CALLVA (TTY: 1-888-221-1590). H\@z9`]! SNAP Emergency Allotments were a temporary change to SNAP benefits that <>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI ]/XObject <<>>>>/Type /Page >> 1-855-242-8282 (TDD: 1-888-221-1590). 0000008961 00000 n endstream endobj 227 0 obj <>stream <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> > Or call the Virginia Department of Social Services Enterprise Call Center at 1-855-635-4370. CommonHelp lets you see if you are able to get help with: Children's Health Insurance (FAMIS/FAMIS Plus)), Medicare Part D Costs Savings Program (Medicaid for Medicare Beneficiaries. How to Upload Documents To My SNAP Application LouisianaDCFS 925 subscribers Subscribe Like Share 54K views 2 years ago SNAP applicants are required to provide documents to verify their. Applications for Temporary Assistance for Needy Families (TANF) or General Relief, are <> 3 0 obj 0000000016 00000 n 600 East Broad StreetRichmondVirginia. 11 0 obj apply for SNAP at the local Social Security office. If you want to apply online for only Health Care Coverage, then click here or call 1-855-242-8282. Applications for Temporary Assistance for Needy Families (TANF) or General Relief, are 804-692-0114. 0000060731 00000 n By mail or in person: Fill out the paper renewal form. The Consolidated Appropriations Act 2023 law recently passed by Congress ends Emergency Allotments after 0000075386 00000 n H\j0l/f06i! An interview will be required unless you meet the conditions for a. endstream endobj startxref To learn about programs available through the Virginia Department of Social Services, visit dss.virginia.gov. 72tYHfQiD.(HmL-=i AQZ$!q>r%,So-XOFm 3~8,\ H. Richmond, Virginia 23219. notary@governor.virginia.gov. Asks to review all the information entered in CommonHelp up to this point; provides a Summary chance to make additions or corrections. endobj CommonHelp Help for Families Check eligibility, apply and see status of benefits, online. A manual application cannot be processed and is not considered complete until it is 9 0 obj 0 signed and received by your local department. A SNAP account is established for eligible households and automatic deposits are made into the account each month. Need assistance filling out this application? endstream endobj 486 0 obj <>/Metadata 51 0 R/Pages 483 0 R/StructTreeRoot 89 0 R/Type/Catalog>> endobj 487 0 obj <>/MediaBox[0 0 612 792]/Parent 483 0 R/Resources<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 488 0 obj <>stream Apply online at commonhelp.virginia.gov; Apply by calling the Cover Virginia Call Center at 1-833-5CALLVA (1-833-522-5582) (TDD: 1-888-221-1590), Monday - Friday, 8 a.m. to 7 p.m., and Saturday, 9 a.m. to noon. Learn how assistance benefits can work for individuals and families through the below programs: Financial assistance is provided to eligible families to help with the cost of child care so they can work or attend education programs, Low-income households may receive assistance with their energy bills, SNAP can be used like cash to buy eligible food items with an EBT card from authorized retailers, Provides financial assistance to eligible individuals with Supplemental Security Income (SSI) and other low-income individuals interested in residing in a Department of Social Services licensed assisted living facility or a local department of social services approved adult foster care home, TANF is designed to help needy families achieve self-sufficiency and Virginia receives block grants that fund these support programs. But, if you don't provide any evidence or give us the information we need to .
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